go back

Minnesota rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $707.95 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,047.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,630.27 / $5,011.87
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $707.95 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $354.81 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $467.74 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $831.76